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QUIK STOP MARKETS, INC. PURCHASE NO. 4359 <br /> P.O. BOX 5745 THE ABOVE NUMBER MUST <br /> ION ALL INVOICES,PACKAGES <br /> FREMONT, CA 94537 <br /> ORDER CORRESPONDENCE <br /> (510) 657-8500 DATE DATE REQUIRED <br /> -1//617 Y <br /> �2x�s S 't . SHIP TO: �u-�!C S' /1�i�ak�=�"' /Z <br /> TO: y° — SHIP VIA TERMS <br /> AA, - AMI° <br /> /Ani,a C'4 ZVdAIti`c>9 ❑ F.O.B. PLANT ❑ TAXABLE <br /> �f,�j• � r /y�'�9-�Ei��lD 9 -823 - 76 L�' ❑ F.O.B. DESTINATION ❑ RESALE <br /> QUANTITY QUANTITY <br /> ORDERED RECEIVED STOCK NUMBER/DESCRIPTION UNIT PRICE AMOUNT <br /> J low <br /> d g ''C `2 <br /> 61) 9-666 <br /> .4 <br /> rz 243 a's <br /> /3 / 13 /a0 <br /> Q .U`• r, r Z)(vtff4d PO 6,1 A ®8',76 <br /> w r 7 <br /> • PLEASE SEND COPIES OF YOUR INVOICE. SUBTOTAL /3 /do <br /> CONDITIONS <br /> • Order is to be entered in accordance with prices,delivery and specifications <br /> BY: <br /> RE S D SIGNATURE shown above. TAX <br /> • Notify us immediately if you are unable to ship as specified. <br /> • If shipment will be delayed for any reason,advise us immediately,stating all 0-0 <br /> BY: the necessary facts. TOTAL <br /> VED SIGNATURE • Goods are subject to inspection and approval. <br /> • To avoid errors,note specifications carefully and if unable to complete orders <br /> QSM 054 as written notify us promptly. <br />